BETHANY STACK, P.A.

Physician Assistant - Medical

Active Individual
NPI: 1184619876

Practice Address

3 ALBERT CREE DR
Rutland, VT 05701

Phone: (802) 775-2937

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 055-0030670 (VT)

Frequently Asked Questions

NPI 1184619876 is the National Provider Identifier for BETHANY STACK, P.A., a Physician Assistant - Medical provider located in Rutland, VT. This NPI was enumerated on September 19, 2005.
BETHANY STACK, P.A. practices at 3 ALBERT CREE DR, Rutland, VT 05701.

Quick Facts

NPI
1184619876
Type
Individual
Enumerated
Sep 19, 2005
Last Updated
Mar 3, 2011

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